Billing Specialist

About the role

At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. We guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence.

Responsibilities

• Prepare and submit insurance claims for home infusion services, including nursing, supplies, and medications.
• Verify documentation of supplied products aligns with the prepared claim.
• Verify the accuracy of billed codes and the accuracy of billed and expected amounts.
• Have a thorough understanding of payer contracts.
• Understand the different types of home infusion medications and therapies.
• Knowledge of insurance verification and reimbursement processes.
• Address customer inquiries and resolve billing discrepancies, providing excellent customer service to both internal and external stakeholders.
• Stay up to date on relevant billing regulations, coding guidelines, and payer requirements to ensure compliance with all applicable standards.
• Familiarity with clearinghouses and the billing functionality.
• Absorb and apply knowledge of payer alerts and reimbursement changes.
• Assist with various data entry, administrative, and clerical tasks.

Qualifications

• GED or high school diploma required
• Minimum of two (2) years of working experience in medical billing & collection-related activities required
• Experience providing customer service to internal and external customers, including meeting service quality standards and evaluating customer satisfaction.
• Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.).

Qualifications Preferred

• Minimum of five (5) years of working experience in medical billing & collection-related activities preferred
• Previous home infusion therapy billing experience preferred
• Experience with CareTend preferred

Essential Functions and Responsibilities

• Prepare and submit insurance claims for home infusion services, including nursing, supplies, and medications.
• Verify documentation of supplied products aligns with the prepared claim.
• Verify the accuracy of billed codes and the accuracy of billed and expected amounts.
• Have a thorough understanding of payer contracts.
• Understanding the different types of home infusion medications and therapies.
• Knowledge of insurance verification and reimbursement processes.
• Address customer inquiries and resolve billing discrepancies, providing excellent customer service to both internal and external stakeholders.
• Stay up to date on relevant billing regulations, coding guidelines, and payer requirements to ensure compliance with all applicable standards.
• Familiarity with clearinghouses and the billing functionality.
• Absorb and apply knowledge of payer alerts and reimbursement changes.
• Assist with various data entry, administrative, and clerical tasks.

Knowledge, Skills, and Abilities Requirements

• Able to stay abreast of payer alerts and reimbursement changes.
• Able to work in a fast-paced environment.
• Able to navigate and interpret insurance contracts.
• Able to actively communicate, inspire, and motivate all levels of staff.
• Able to think and act strategically and proactively.
• Able to maintain accurate records and prepare reports and correspondence related to the work.
• Able to organize and coordinate the work of others.
• Able to set priorities and assign work to other professionals.
• Excellent analytical skills.

Communication Skills

• Oral Communication - Speaks clearly and persuasively in both positive and negative situations; listens and seeks clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Computer Skills

Become and remain proficient in all programs necessary for execution.

Pay Range/Rate

$25 - $27 USD

Physical Demands

• Stand, walk, or sit.
• Use hands to finger, handle, or feel objects, tools, or controls.
• Reach with hands and arms.
• Climb stairs.
• Balance.
• Stoop, kneel, crouch, or crawl.
• Talk or hear.

Other Requirements

• Participate annually in required legal and ethical compliance training.
• Consistently act in compliance with LUX Infusion’s legal, ethical, and compliance policies.
• Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual.
• Refrain from any behavior that could be considered unethical or unlawful.

Expectations for All Employees

• Support the organization’s mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm.
• Place patients first, work collaboratively with a “stacked-hands” mindset, and maintain a consistent focus on quality, accountability, and continuous improvement.

General Information

• The statements above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required.
• This role operates in a fast-paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate.
• Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.
• LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.